[{"data":1,"prerenderedAt":65},["ShallowReactive",2],{"q-nurse-110-2-medical-surgical-079":3},{"subject":4,"subjectSlug":5,"subjectFullName":4,"question":6,"related":35,"lastmod":64},"內外科護理學","medical-surgical",{"id":7,"webId":8,"year":9,"session":10,"subject":4,"number":11,"stem":12,"options":13,"answer":18,"answerNote":19,"images":20,"explanation":21,"explanationDeep":22,"topics":23,"freq":26},"nurse-110-2-內外科護理學-079","nurse-110-2-medical-surgical-079",110,2,79,"有關急救藥物主要治療效果的敘述，下列何者錯誤？",{"A":14,"B":15,"C":16,"D":17},"Amiodarone 主要用於治療病人持續出現心室纖維顫動或是無脈搏心室心搏過速","Atropine 多用於心搏過緩或心臟收縮不全","Dopamine 多用於治療低血壓","Sodium Bicarbonate（NaHCO 3 ）多用於治療鹼血症","D",null,[],"本題考點為常用急救藥物的主要適應症。依Sodium Bicarbonate的藥理,其為鹼性緩衝劑,用於矯正代謝性酸血症而非鹼血症,故敘述錯誤者為D。(A)Amiodarone為第三類抗心律不整藥,用於頑固性心室纖維顫動或無脈搏心室頻脈,正確。(B)Atropine阻斷迷走神經以提升心率,用於心搏過緩或心臟收縮不全,正確。(C)Dopamine具劑量依賴的升壓與強心作用,用於治療低血壓,正確。考點在於NaHCO₃的作用方向是矯正「酸」而非「鹼」,選項把適應症寫反即為錯誤。","ACLS常備藥快記:Epinephrine(心跳停止升壓)、Amiodarone(頑固性VF\u002F無脈VT)、Atropine(症狀性心搏過緩,阻斷迷走)、Dopamine(低血壓、心搏過緩)、Sodium Bicarbonate(嚴重代謝性酸中毒、高血鉀、三環抗憂鬱藥中毒)。NaHCO₃提供HCO₃⁻中和過多H⁺,只在「酸」時使用;過量反致代謝性鹼中毒與低血鉀。記憶:Bicarb=鹼,救的是酸。可連結:陰離子間隙、心律不整分類、迷走神經對竇房結的影響。",[24,27,29,31,33],{"term":25,"count":26},"Sodium Bicarbonate",1,{"term":28,"count":26},"Amiodarone",{"term":30,"count":26},"Atropine",{"term":32,"count":26},"Dopamine",{"term":34,"count":26},"急救藥物適應症",[36,40,45,50,55,60],{"webId":37,"stem":38,"number":39,"year":9,"session":10},"nurse-110-2-medical-surgical-080","有關腸病毒的敘述，下列何者錯誤？",80,{"webId":41,"stem":42,"number":43,"year":44,"session":10},"nurse-111-2-medical-surgical-016","白老太太 76 歲，有高血壓及糖尿病，配戴假牙，下列何者不是預防齲齒的護理指導？",16,111,{"webId":46,"stem":47,"number":48,"year":49,"session":26},"nurse-112-1-medical-surgical-030","下列何者為骨性關節炎的症狀和徵象？",30,112,{"webId":51,"stem":52,"number":53,"year":54,"session":26},"nurse-113-1-medical-surgical-018","下列何者為冠狀動脈性心臟病人服用Aspirin之主要目的？",18,113,{"webId":56,"stem":57,"number":58,"year":59,"session":10},"nurse-114-2-medical-surgical-022","正在接受 sorafenib（Nexavar）治療的癌症病人表示：「服藥後手掌和腳掌都出現脫皮、龜裂、刺痛情形，怎麼會這樣呢？」，下列護理指導何者正確？①洗手時不用力搓洗，穿著寬鬆舒適鞋子 ②可塗擦尿素乳膏或凡士林在患部後穿襪就寢 ③外出須戴帽撐傘防曬，但不可以擦防曬乳 ④皮膚乾癢不適時應給與冰敷或熱敷緩解症狀",22,114,{"webId":61,"stem":62,"number":43,"year":63,"session":26},"nurse-106-1-medical-surgical-016","有關接受活體肝臟切片檢查病人之護理，下列何者錯誤？",106,"2026-09-04",1788510729569]